Individual provider Active NPI

Katrina Kneeskern

  • Physical Therapist
  • Cupertino, CA
National Provider Identifier
1619356409
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0012409 Issued in CO
Practice address
20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Phone
(408) 252-6076
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9902 MN
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 0012409 CO Primary
Physical Medicine & Rehabilitation Physician 208100000X PT41184 CA

Addresses

Primary practice location

20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112

Mailing address

335 W South Boulder Rd
Ste 1
Louisville, CO 80027-1192
Phone (303) 954-8423

Other practice location 1

11995 Singletree Ln
Suite 120
Eden Prairie, MN 55344-5347
Phone (952) 373-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150804004022 MN Practitioner - Physical Therapist in Private Practice 7214241249 Reassigns benefits to 2 organizations
I20200224003020 CA Practitioner - Physical Therapist in Private Practice 7214241249 Reassigns benefits to 1 organization
I20220103000580 CO Practitioner - Physical Therapist in Private Practice 7214241249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

12324 Wayzata Blvd
Minnetonka, MN 55305-1919
Phone (877) 609-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41184CAMDMarriage & Family Therapist
PT41184CAMDPhysical Medicine & Rehabilitation Physician
0012409COMDPhysical Therapist
9902MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Single Specialty CurrentSince Mar 30, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 7, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 7, 2022 Accepting new patients
Waypoint Minnesota PC Single Specialty CurrentSince Jun 1, 2015 Accepting new patients
Colorado Luna Care Physical Therapy LLC Single Specialty CurrentSince Jan 24, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Single Specialty Current Accepting new patients
Infinite Health Collaborative, PA Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

11995 Singletree Ln
Ste 120
Eden Prairie, MN 55344
Phone (952) 373-5720

6450 Wedgwood Rd N
Maple Grove, MN 55311

43 SE Main St
Ste 223
Minneapolis, MN 55414
Phone (612) 331-5757

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

12324 Wayzata Blvd
Minnetonka, MN 55305
Phone (528) 354-5129

5775 Wayzata Blvd
Ste 900
St Louis Park, MN 55416
Phone (952) 292-5760

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1619356409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W SOUTH BOULDER RD",
            "address_2": "STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271192",
            "telephone_number": "303-954-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD STE 200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142112",
            "telephone_number": "408-252-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln",
            "address_2": "SUITE 120",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445347",
            "country_code": "US",
            "telephone_number": "952-373-5720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNEESKERN",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "9902",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012409",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT41184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.